Nursing process for a patient with ectopic pregnancy in the Gynecology Department of a hospital in Arequipa

Abstract

Introduction: Ectopic Pregnancy is the implantation and subsequent development of the fertilized ovum outside the endometrial cavity, with greater prevalence in the uterine tubes.
Tubal rupture and hemorrhage causes morbimortality and is considered a true medical emergency. Objective: To elaborate the nursing care process oriented to a patient with ectopic pregnancy. Methodology: This is a descriptive qualitative research work, with a single case design, aimed at a 35-year-old patient. The Nursing Care Process was used, applying Margory Gordon's functional patterns as an assessment instrument. Result: 6 nursing diagnoses were identified, prioritizing the main diagnosis: Acute pain r/c biological injury agent manifested by verbal expressions and VAS scale 10/8. Nursing interventions were applied with effective result achieving improvement with change score +2; before PC extrauterine pregnancy and Shock CR are still in the process of improvement. Conclusions: The clinical manifestations of an ectopic pregnancy were identified in the patient; the complication risk factors were determined and the nursing role was described by applying preventive care in hypovolemic shock. Collaborative problems and risks were identified and addressed through the nursing interventions and activities included in the EAP for ectopic pregnancy, achieving better health status.